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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHELLY DENISE MINOR, PH.D

Active Sole Proprietor

DR. SHELLY DENISE MINOR, PH.D is a Psychologist healthcare provider located in BETHEL ISLAND, California. NPI 1891977435 is currently active in the NPPES registry. Verify at CMS.

Psychologist · BETHEL ISLAND, CA

Registration Details

NPI Number
1891977435
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2007 (18.727658042385 yrs)
Last Updated
Feb 17, 2011
License
21477 (CA)
Sole Proprietor
Yes

Practice Information

Address
6327 BETHEL ISLAND ROAD
SUITE A
BETHEL ISLAND, CA, 945111011
Browse CA providers · Browse ZIP 94511
Phone
9255500540
Fax
9256840348
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.